Organization
NORTH VALLEY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULES R JACKSON (BILLING OPERATIONS DIRECTOR)
(530) 891-1900
Entity
Organization
Contact information
Practice address
114 MISSION RANCH BLVD, SUITE 50, CHICO, CA 95926-5137
(530) 891-1900
(530) 895-1531
Mailing address
114 MISSION RANCH BLVD, SUITE 50, CHICO, CA 95926-5137
(530) 891-1900
(530) 895-1531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
CA
207W00000X
Ophthalmology Physician
Primary
—
CA
208D00000X
General Practice Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP9901
RAILROAD MEDICARE
CA
Enumeration date
07/23/2008
Last updated
08/28/2013
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